OVERCOMER HEALTHCARE SERVICE CORPORATION (NPI# 1134633704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134633704 |
| Entity Type | Organization |
| Organization Name | OVERCOMER HEALTHCARE SERVICE CORPORATION |
| Practice Address |
1238 Birmingham St Saint Paul MN 55106-2116 |
| Mailing Address |
2439 Homestead Ave N Oakdale MN 55128-5120 |
| Practice Telephone | 6515006975 |
| Mailing Telephone | 6515006975 |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |
| Authorized Official Name | MR. OLANIYI ODEKU (ADMINISTRATOR) |
| Authorized Official Telephone | 6515006975 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
382067 | MN | Nursing Service Providers |
| Street Address |
1238 BIRMINGHAM ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1639736150 | Hassan Hussein Sirat | Registered Nurse | 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 | 2019-05-20 |
| 1306368956 | Kong Yang | Registered Nurse | 1261 Payne Ave # 102, Saint Paul, MN 55130-3668 | 2017-07-14 |
| 1679094304 | Lisa Pouliot | Registered Nurse | 2356 University Ave W Ste 220, Saint Paul, MN 55114-1850 | 2017-07-03 |
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1184152084 | Mai Nhia Vang | Registered Nurse | 1261 Payne Ave Ste 102, Saint Paul, MN 55130-3668 | 2017-05-23 |
| 1548700677 | Susan Nduta Apollo | Registered Nurse | 2316 Londin Ct E # 28, Saint Paul, MN 55119-5517 | 2017-03-08 |
| 1255873931 | Bethlehem Kiflom | Registered Nurse | 1800 Graham Ave Unit 330, Saint Paul, MN 55116-1371 | 2016-11-10 |
| 1598207797 | Alemu Jirane | Registered Nurse | 1327 Maynard Dr E Apt 545, Saint Paul, MN 55116-2977 | 2016-11-06 |
| 1982156444 | Mary Joy Moua | Registered Nurse | 713 Minnehaha Ave E, Suite 218, Saint Paul, MN 55106-4441 | 2016-11-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on OVERCOMER HEALTHCARE SERVICE CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.